Westfield Animal Shelter Adoption Application
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Email *
Name of animal, or description of type of animal you are interested in: *
Your first and last name: *
Your address: *
Primary Phone Number: *
Secondary Phone Number:
Date of Birth: *
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Driver's License Number: *
Why do you want this pet? Check all that apply. *
Required
Where will your pet be kept during the day? Check all that apply: *
Required
Where will your pet be kept during the night? Check all that apply: *
Required
How many adults live in your home? *
How many children live in your home? List their ages. *
Is anyone in your family allergic to animals? (Describe) *
Do you own your home or are you a renter? *
IF RENTING: Does your landlord allow pets? *
IF RENTING: Is a pet deposit required? *
IF RENTING: Will your monthly rent increase? *
IF RENTING: What is your landlord's name and phone number? *
If applying for a DOG- Is your yard fenced? (If yes, describe height and type).
Have you ever adopted a pet from us before? *
Have you ever surrendered an animal to a shelter before? If yes, please explain.
What will you do with your pets if you move in the future? *
IF ADOPTING A CAT: Do you plan to declaw your cat?
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IF ADOPTING A DOG: How do you plan to house train your dog?
Do you understand that a dog/cat may live 15 or more years? *
Would you be willing to allow a representative from the shelter to visit your home before the adoption is finalized? *
It may take your new pet two or more weeks to adapt to its new home, especially if other pets are involved. Are you prepared to allow this much time? *
Please fill in the following information about current and past pets (from the last ten years): Name, Type/Breed, Age, Sex, Neutered/Spayed, Where they are kept, and If you still own them. If you do not still own them, please explain why.
Please provide the name and phone number of the veterinarian(s) who cares/cared for the above animals. *
May we contact your veterinarian? *
Please call your veterinarian and give them permission to speak with a representative from the shelter before submitting your application. Please initial and date below to let us know when  you contacted your veterinarian. *
A copy of your responses will be emailed to the address you provided.
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